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KASSANDRA RIE BEECH MITSURU NP
NPI 1841055902
Nurse Practitioner in Rosemead, CA

Active since February 19, 2024PECOS Enrolled
7500 HELLMAN AVE, ROSEMEAD, CA 91770(626) 288-1160 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kassandra Rie Beech Mitsuru Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA RIE BEECH MITSURU NP (NPI 1841055902) is an individual nurse practitioner in Rosemead, California, licensed in California (95028173) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841055902
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKASSANDRA RIE BEECH MITSURUCredential: NP
Location Address7500 HELLMAN AVERosemead, CA 91770-2216
Mailing Address7500 Hellman AveRosemead, CA 91770-2216
Phone(626) 288-1160
Sole ProprietorNo
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 18, 2024
✔ NPI 1841055902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95028173
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7500 HELLMAN AVE, Rosemead, CA 91770
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassandra Rie Beech Mitsuru Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kassandra Rie Mitsuru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
14 mi
Family Medicine
540 E ARTESIA BL
Long Beach, CA 90805
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1669586020 (562) 423-3383
Central Health Plan Of California, Inc.
16 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEABREEZE MENTAL HEALTH INC
Psychiatry & Neurology (Psychiatry)
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 288-1160
AILYN C AQUINO LVN
Licensed Vocational Nurse
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 288-1160
ALLCARE REHAB SERVICES LLC
Occupational Therapist
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 288-1160
ASHLIE CHU
Social Worker (Clinical)
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 758-7452
KRISTEN FRALEY
Social Worker (Clinical)
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 576-8024
SONYA MILBURN LPT
Licensed Psychiatric Technician
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 288-1160
MR. JEROME BOONSONG RN
Registered Nurse (Psychiatric/Mental Health, Adult)
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 288-1160
TARASAI TOMS-KIRKSEY
Licensed Vocational Nurse
7500 HELLMAN AVE
ROSEMEAD, CA 91770
Los Angeles County (626) 288-1160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassandra Rie Mitsuru's NPI number?

The NPI number for Kassandra Rie Mitsuru is 1841055902. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Kassandra Rie Mitsuru located?

Kassandra Rie Mitsuru practices at 7500 Hellman Ave, Rosemead, CA 91770. The listed phone number is (626) 288-1160.

What is Kassandra Rie Mitsuru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kassandra Rie Mitsuru enrolled in Medicare?

Yes. Kassandra Rie Mitsuru is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kassandra Rie Mitsuru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassandra Rie Mitsuru reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Long Beach, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassandra Rie Mitsuru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kassandra Rie Mitsuru was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.